Ins pm gen exist dual lead at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,965.15
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,367.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$312.73 with COSC Psych vs $32,713.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $312.73 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $312.73 | ↓ -84% |
| Central California Alliance for Health | Medicaid|All Plans | $312.73 | ↓ -84% |
| Health Net | Medicaid|> 21 | $473.13 | ↓ -76% |
| Health Net | Medicaid|< 21 | $473.13 | ↓ -76% |
| Kaiser | Commercial|All Plans | $2,838.55 | ↑ +44% |
| Western Growers | Commercial|All Plans | $3,056.90 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $3,493.60 | ↑ +78% |
| First Health | Commercial|All Plans | $3,711.95 | ↑ +89% |
| Multiplan | Commercial|All Plans | $3,711.95 | ↑ +89% |
| United | Commercial|All Other Plans | $3,930.30 | ↑ +100% |
| United | Commercial|HMO | $4,192.32 | ↑ +113% |
| United | Commercial|Options PPO | $4,192.32 | ↑ +113% |
| United | Commercial|Non-Options PPO | $4,367.00 | ↑ +122% |
| United | Medicare|All Plans | $4,367.00 | ↑ +122% |
| Kaiser | Medicare|All Plans | $4,367.00 | ↑ +122% |
| Health Net | Medicare|All Plans | $4,367.00 | ↑ +122% |
| Blue Shield CA | Commercial|DHMF | $4,978.38 | ↑ +153% |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | ↑ +220% |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | ↑ +235% |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | ↑ +309% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +372% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +559% |
| Sutter Health | Commercial|All Plans | $13,668.71 | ↑ +596% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +1079% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +1088% |
| Health Net | Commercial|Community Care | $24,182.00 | ↑ +1131% |
| Health Net | Commercial|Care Product | $29,441.00 | ↑ +1398% |
| Health Net | Commercial|Blue Gold | $29,786.00 | ↑ +1416% |
| Blue Shield CA | Medicare|All Plans | $30,837.92 | ↑ +1469% |
| Health Net | Commercial|All Other Plans | $32,713.00 | ↑ +1565% |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $31,547.39 | $473.13 – $57,040.26 |
| Queen of The Valley Medical Center | Napa | $58,773.42 | $5,592.00 – $113,226.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,018.24 | $5,171.00 – $52,926.57 |
| Northridge Hospital Medical Center | Northridge | $12,818.66 | $312.73 – $45,945.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $5,004.30 | $1,142.00 – $52,926.57 |
| California Hospital Medical Center | Los Angeles | $47,444.16 | $281.46 – $77,280.17 |
| Providence Saint Joseph Medical Center | Burbank | $9,596.30 | $1,142.00 – $52,926.57 |
| St Jude Medical Center | Fullerton | $16,385.76 | $4,188.00 – $52,926.57 |